National Provider Identifier [NPI]: |
1033184429 |
Last Name Of The Provider |
GUERNELLI |
First Name Of The Provider |
GIANELIA |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
77 BATES ST |
Street Address 2 Of The Provider |
STE 102 |
City Of The Provider |
LEWISTON |
Zip Code Of The Provider |
04240 |
State Code Of The Provider |
ME |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
18906 |
Number Of Medicare Beneficiaries |
886 |
Total Submitted Charge Amount |
1739525.44 |
Total Medicare Allowed Amount |
520062.01 |
Total Medicare Payment Amount |
392600.04 |
Total Medicare Standardized Payment Amount |
407699.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
15169 |
Number Of Medicare Beneficiaries With Drug Services |
452 |
Total Drug Submitted ChargeAmount |
138032.84 |
Total Drug Medicare AllowedAmount |
67187.83 |
Total Drug Medicare PaymentAmount |
52552.56 |
Total Drug Medicare Standardized Payment Amount |
52552.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
3737 |
Number Of Medicare Beneficiaries With Medical Services |
886 |
Total Medical Submitted Charge Amount |
1601492.6 |
Total Medical Medicare Allowed Amount |
452874.18 |
Total Medical Medicare Payment Amount |
340047.48 |
Total Medical Medicare Standardized Payment Amount |
355147.13 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
465 |
Number Of Beneficiaries Age 65 to 74 |
227 |
Number Of Beneficiaries Age 75 to 84 |
146 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
547 |
Number Of Male Beneficiaries |
339 |
Number Of Non Hispanic White Beneficiaries |
853 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
399 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
487 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1806 |